Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VE0102X | Reproductive Endocrinologist | 16317 | KY |
NPI | 1417979683 |
---|---|
Provider Name | Christine Louise Cook |
First Address | Louisville, KY 40202-1622 |
Second Address | Louisville, KY 40202-5700 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/07/2006 |
Last Update Date | 29/09/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
000000045430 | ANTHEM PSC (01) | KY |
00000047617 | ANTHEM - FOUNDATION (01) | KY |
100332320 | (05) | IN |
1049405 | PASSPORT PCP# - FOUNDATION (01) | KY |
1049410 | PASSPORT SPECIALITY # - PSC (01) | KY |
1164929 | PASSPORT PCP# - FOUNDATION (01) | KY |
64163173 | (05) | KY |
C66528 | (02) | KY |